03D2131976 CLIA NUMBER - CCHCI SEABHS CLINIC

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Laboratory Demographics

CLIA Number: 03D2131976

Facility Name: CCHCI SEABHS CLINIC

Facility Address:
4755 CAMPUS DRIVE
SIERRA VISTA, AZ
ZIP 85635
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Facility Phone Number: (520) 459-3012

Facility Type: FEDERALLY QUALIFIED HEALTH CENTER

Certificate Type: Waiver

NPI Number: 1487175162

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	03D2131976
LAB Type	FEDERALLY QUALIFIED HEALTH CENTER
Facility Name	CCHCI SEABHS CLINIC
Street	4755 CAMPUS DRIVE
City	SIERRA VISTA
State	AZ
ZIP	85635
Phone	(520) 459-3012

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This page was last updated on: 5/11/2023